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Contact Information

RONALD D ENNIS, MD
1000 10TH AVE
LOWER LEVEL
NEW YORK, NY10019-1147
 Phone: 212-523-7165
 Fax: 212-523-8189
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for RONALD D ENNIS · (Male)

NPI # 1780668400
Status Active
Credentials MD
Entity Individual
Enumeration date 12/06/2005
Last updated 06/03/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA09380900
  • NY License # 196138
  • NY Medicaid 01811072
Hospital affiliation(s)
  • ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - (Acute Care)
    ONE ROBERT WOOD JOHNSON PL
    NEW BRUNSWICK, NJ 08901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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